Cardiology Department, HCA Clear Lake Heart Hospital, Webster, Texas.
Cardiology Department, Baylor St Luke's Medical Center, Houston, Texas.
Tex Heart Inst J. 2024 Jul 31;51(2). doi: 10.14503/THIJ-23-8337.
The evolution of percutaneous procedures that use transseptal puncture to treat left-sided structural heart disease has led to the emergence of iatrogenic atrial septal defects as a potential complication. These defects can result in hemodynamic decompensation and worsening clinical outcomes. Some iatrogenic atrial septal defects require immediate closure, others do not. This case report presents 2 patients who underwent transcatheter edge-to-edge mitral valve repair with transseptal puncture and required iatrogenic atrial septal defect closure (1 immediate and 1 delayed). The goal of this report is to highlight iatrogenic atrial septal defect assessment and the possible need for closure after transseptal puncture.
经房间隔穿刺治疗左侧结构性心脏病的经皮介入治疗方法的发展，导致医源性房间隔缺损成为一种潜在的并发症。这些缺陷可导致血液动力学失代偿和临床结局恶化。一些医源性房间隔缺损需要立即关闭，而另一些则不需要。本病例报告介绍了 2 例接受经房间隔穿刺的经导管二尖瓣瓣环成形术的患者，他们需要进行医源性房间隔缺损闭合（1 例即刻，1 例延迟）。本报告的目的是强调经房间隔穿刺后医源性房间隔缺损的评估和可能需要关闭。
